# RETINA CENTER OF OHIO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104229855
- **Authorized official:** MRS. JESSICA PIETROPINTO (PRACTICE MANAGER)
- **Authorized official phone:** (216) 382-3366

## Contact information

- **Practice address:** 1161 S. GREEN ROAD, SUITE 230, SOUTH EUCLID, OH 44121-4129
- **Practice address phone:** (216) 382-3366
- **Practice address fax:** (216) 382-4959
- **Mailing address:** 1611 S GREEN RD, SUITE 306B, SOUTH EUCLID, OH 44121-4129
- **Mailing address phone:** (216) 382-3366
- **Mailing address fax:** (216) 382-4959

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/08/2014
- **Last updated:** 03/17/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0806837 | — | OH |
| 01 | — | 21874635700 | WORKMAN'S COMP | OH |